刘继帅

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051327336},{"body":{"content":"请问您需要咨询那些医学问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331559},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051338381},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051456020},{"body":{"content":"报告提示右侧鼻骨骨折","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490609},{"body":{"content":"现在主要是什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051496316},{"body":{"content":"有治疗吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499027},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051741261},{"body":{"content":"您还在关注对话吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051852575},{"body":{"content":"如果骨折明显，有不适症状，根据骨折症状轻重情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052013571},{"body":{"content":"如果必要时是建议手术的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052022592},{"body":{"content":"避免影响之后的正常生活","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052030600},{"body":{"content":"现在看不到具体的骨折情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052037081},{"body":{"content":"建议遵线下医嘱对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052057916},{"body":{"content":"由于您长时间不在线，所以无法了解到您的具体症状，也无法给您更全面的建议，建议您下次方便时可以再次上线咨询，以便我给您一些比较适合的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052063603},{"body":{"content":"您好，受接诊时长的控制，如果您没有其他问题咨询了，或者现在不方便在线回复，时限到后，系统会自动关闭并提交结束本次问诊，等您需要或方便的时候再上线免费咨询，谢谢您的理解和配合，下次再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052065264}]

男40岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217789},{"body":{"content":"孩子这种情况多久啦？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226914},{"body":{"content":"应该是很久了，他之前有过，后来没有了，今天发现了，一问他，他说每天都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050270009},{"body":{"content":"好的，孩子目前有不适吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288074},{"body":{"content":"他都是趁没人的时候自己在屋里的时候","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050307321},{"body":{"content":"所以我一直被发现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319054},{"body":{"content":"没有不适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325332},{"body":{"content":"我就很焦虑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050332320},{"body":{"content":"之前是上幼儿园中午不睡觉无聊发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050360787},{"body":{"content":"后来不让他在那睡觉以为没事了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381498},{"body":{"content":"今天突然发现一问他说每天都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396665},{"body":{"content":"应该是很长很长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050409452},{"body":{"content":"从第一次发现到现在得有好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050425967},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050432204},{"body":{"content":"孩子目前有不适吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452027},{"body":{"content":"孩子平时的饮食与消化如何呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050459276},{"body":{"content":"没有不适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050561040},{"body":{"content":"平时吃饭消化都挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050578787},{"body":{"content":"好的，孩子去线下医院检查过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605894},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610571},{"body":{"content":"我一直以为没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618876},{"body":{"content":"今天刚知道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050624505},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050668212},{"body":{"content":"根据您的描述，考虑孩子目前的情况，是不考虑手淫的情况的，多考虑孩子不良习惯的情况的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050740390},{"body":{"content":"孩子目前是可以线下医院儿保科给孩子检查一下是否有注意力不集中，多动等情况的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050764911},{"body":{"content":"您是不用过于担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770316},{"body":{"content":"我一听他每天都弄，特别焦虑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050798847},{"body":{"content":"他说他就是搓，觉得好玩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050832639},{"body":{"content":"他说每次都搓痒痒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050879164},{"body":{"content":"这不是手淫吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050886472},{"body":{"content":"对的，目前孩子还是比较小的，目前是不考虑的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050950722},{"body":{"content":"哦，怎么让他改正呢，我听到了就很生气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050977244},{"body":{"content":"如果您实在担心，是可以给孩子线下医院儿保科以及泌尿外科给孩子检查一下的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050981966},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051004960},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051140559},{"body":{"content":"您平时可以让孩子适度运动，多晒**，多吃蔬菜水果，规律饮食与作息，少吃辛辣刺激的食物，定期儿保科体检，不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051148920},{"body":{"content":"让孩子多活动，多看一些有益身心的书籍，给孩子多引导，**纠正就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051180432},{"body":{"content":"祝孩子早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051542914},{"body":{"content":"您平时让孩子注意均衡饮食。适当进行户外运动。保证充足的睡眠。疾病高发季节适当补充维生素C泡腾片。平时注意饮食起居，减少接触病原体，疾病高发期避免去人群密集地区。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051555821},{"body":{"content":"后续有问题，您在京东APP上直接搜索我的名字“京东医生麻建辉”就可以找到我的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556675}]

男7岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050054788},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066662},{"body":{"content":"我先了解下您的具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050079227},{"body":{"content":"是线下医师建议使用的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080386},{"body":{"content":"不是，我们吃这个管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050095564},{"body":{"content":"温馨提示：平台要求凡是六岁以下宝宝购药均需提供线下医院病历或处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182241},{"body":{"content":"麻烦您上传一下具体的病例资料，需要系统匹配到有效病例、购药单或之前开具过的电子处方后，可以直接给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184601},{"body":{"content":"上次也是这个平台医生开的电子的，怎么查看？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050218856},{"body":{"content":"您到之前的问诊记录","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050234837},{"body":{"content":"点击之后再问诊记录之中可以查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245732},{"body":{"content":"或是上传孩子之前的病例报告","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259706},{"body":{"content":"在哪里看问诊记录","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050266536},{"body":{"content":"我的订单中可以查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050305018},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050309594},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050948908},{"body":{"content":"有之前的处方或病例吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050957364},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051539337},{"body":{"content":"如果您现在没有处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051545718},{"body":{"content":"您可以找到之后直接上传","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556464},{"body":{"content":"复诊给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558892},{"body":{"content":"由于您长时间不在线，所以无法了解到您的具体症状，也无法给您更全面的建议，建议您下次方便时可以再次上线咨询，以便我给您一些比较适合的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562558},{"body":{"content":"您好，受接诊时长的控制，如果您没有其他问题咨询了，或者现在不方便在线回复，时限到后，系统会自动关闭并提交结束本次问诊，等您需要或方便的时候再上线免费咨询，谢谢您的理解和配合，下次再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051564303}]

男4岁

2022.05.20

[{"body":{"content":"您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049924437},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049925861},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049936742},{"body":{"content":"看照片 鼻腔粘膜充血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049951228},{"body":{"content":"鼻塞挺严重的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049977363},{"body":{"content":"是过敏吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049989441},{"body":{"content":"有鼻痒 打喷嚏 流鼻涕吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050022776},{"body":{"content":"有鼻痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050054157},{"body":{"content":"经常揉鼻子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050074539},{"body":{"content":"**没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050106979},{"body":{"content":"还有其他的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050107223},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153632},{"body":{"content":"孩子的情况考虑是鼻炎 过敏性鼻炎的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050171246},{"body":{"content":"孩子的情况多长时间了？ 有用药治疗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180670},{"body":{"content":"没有用药，这情况快一个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050224147},{"body":{"content":"了解 孩子有不适 建议是用药干预的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254765},{"body":{"content":"有时间最好带孩子去医院检查一下过敏原 看对什么过敏 平时远离的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050274064},{"body":{"content":"孩子行动不便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050304810},{"body":{"content":"有什么药可以缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050347613},{"body":{"content":"现在有不适 先用药缓解 有时间带孩子去检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050347744},{"body":{"content":"请问孩子有特殊疾病史，药物过敏史，药物禁忌史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050351256},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050357185},{"body":{"content":"我的建议是****** 每次1毫升 每日1次 口服 + ******** 每侧鼻孔1喷每日1次 + ******：喷鼻 2喷每日4次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394088},{"body":{"content":"先使用一周看症状恢复的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400026},{"body":{"content":"可以线上开药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536617},{"body":{"content":"如果您网上买药 稍等给您发送处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050555651},{"body":{"content":"您可以点击查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559316},{"body":{"content":"如果没有处方药，可以去药店买！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603844},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610300},{"body":{"content":"一般药店都有的 您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617572},{"body":{"content":"稍等给您发送处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645019},{"body":{"content":"去药店，用这个处方可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050703582},{"body":{"content":"不可以的 只能线上买药使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761277},{"body":{"content":"那线下，买这些药。需要处方吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050798035},{"body":{"content":"需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050845462},{"body":{"content":"一般药店有坐诊医生以及药师","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050868213},{"body":{"content":"一般是可以买到的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871438},{"body":{"content":"您可以先去问一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050874734},{"body":{"content":"那我看看，谢谢哦！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905433},{"body":{"content":"您客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050916710},{"body":{"content":"应该给您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050919512}]

男13岁

2022.05.20

[{"body":{"content":"您好，我是精神科吴医生！请问有什么能帮您呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049659473},{"body":{"content":"您****，我想开点*****和****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988560},{"body":{"content":"可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066059},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050107989},{"body":{"content":"请问：1，目前病情是否稳定？\n 2，最近服药有严重的副反应吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050109671},{"body":{"content":"目前病情稳定，无不良反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050173004},{"body":{"content":"1，具体想开哪个药？\n请发一下要开的药的照片或图片，以确定厂家、剂型、规格。\n2，几盒？（限开4周用量）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230757},{"body":{"content":"***的，75mg的****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301305},{"body":{"content":"**的，******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339532},{"body":{"content":"各几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385855},{"body":{"content":"******开3盒，*****开2盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050388268},{"body":{"content":"您诊断是什么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050428474},{"body":{"content":"抑郁症，外加神经衰弱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458205},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050534856},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050573507},{"body":{"content":"购药处方已为您开好。 等药师审核后，请点进上面的处方，点“查看详情”，再点“预约药品”购买药品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050591158},{"body":{"content":"感谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050685716},{"body":{"content":"别客气，为了用药安全，请定期1到3个月去线下门诊就诊复查。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050697275},{"body":{"content":"如果可以，请给一下五星好评，非常感谢您！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700146},{"body":{"content":"已好评，十分感谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050759069},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050775797}]

女58岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050225474},{"body":{"content":"在么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258498},{"body":{"content":"您好，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050281191},{"body":{"content":"最近这段时间尿完之后总会流一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050307864},{"body":{"content":"就是**尿完了，但是提上裤子之后，他就会给内裤上滴点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346867},{"body":{"content":"尿不尽对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384915},{"body":{"content":"就是尿完之后啊，他总会有那么一点残留，过一会儿再滴几滴出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414380},{"body":{"content":"还就是有时候尿黄且有点浑浊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050484069},{"body":{"content":"请问是否还有以下症状：○1尿频○2尿急○3尿痛○5排尿困难○6小腹胀痛○7会阴胀痛○8睾丸胀痛○9尿道口滴白。回复序号即可，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501811},{"body":{"content":"9","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533277},{"body":{"content":"就是偶尔一年可能就出现这么一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569584},{"body":{"content":"尿的时候有点白色的，干了之后就跟淀粉干了之后一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582133},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605037},{"body":{"content":"有几个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618089},{"body":{"content":"半年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050630874},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎可能性大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700599},{"body":{"content":"可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050703759},{"body":{"content":"你给推荐一下治疗药物吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722158},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050729915},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740719},{"body":{"content":"您还有早泄是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746002},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050749879},{"body":{"content":"对于射精时间或控制射精能力是您不满意，还是伴侣不满意，还是您们两人都不满意呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754053},{"body":{"content":"一般多久射精呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761228},{"body":{"content":"不带**套的情况下，进去动几下就想射","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765047},{"body":{"content":"带套的情况下，3到5分钟吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050779567},{"body":{"content":"是否有使用什么药物治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050781180},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788488},{"body":{"content":"对于射精的时间和控制射精的能力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050815653},{"body":{"content":"有过几年的手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050839513},{"body":{"content":"嗯，现在很少手淫了对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050853069},{"body":{"content":"戒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050893675},{"body":{"content":"现在有5，6年没有手淫了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050917408},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920911},{"body":{"content":"根据**男科疾病诊断治疗指南，****** 对早泄这个疾病是有治疗作用的，且目前为一线治疗药物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050926498},{"body":{"content":"****\n可以降低精囊内压，降低球海绵体肌的爆发性收缩，降低阴茎背神经敏感性而增加控精能力延长性生活时间，虽然不是每天用药，但是其实是具有治疗作用的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930861},{"body":{"content":"******：口服。药片应完整片吞下。建议至少用一满杯水送服药物。推荐的首次剂量为30mg（1片），需要在性生活之前约1至3小时服用。推荐的最大用药剂量使用频率为每24小时一次。推荐使用频率为1周1-2次，服药当天避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050950312},{"body":{"content":"这个是属于根治的还是辅助的药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036275},{"body":{"content":"只是这个疾病没有根治一说，除非像阑尾炎做完手术切除了，就不会再有阑尾发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051048342},{"body":{"content":"治疗作用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053853},{"body":{"content":"为用药安全，既往有药物过敏及肝肾损伤、慢性病史吗？请问您是否有严重心血管病史？是否在使用***、****、***、****；****；****、****、****、等药物。是否在备孕？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051064359},{"body":{"content":"没有使用这些药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051078684},{"body":{"content":"您这个情况是在泌尿外科非常常见的，也不用过于担心，是可以通过药物治疗的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051147511},{"body":{"content":"针对您的情况，建议您可以使用：****+******治疗一下，可以先使用2周的看看效果，2周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176272},{"body":{"content":"这两个是治疗早泄和尿不尽的，是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200674},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051205317},{"body":{"content":"****是一种选择性5-羟色胺再吸收抑制剂。早泄可能是大脑性欲中心存在着5-羟色胺和***之类的化学物质，它们传导强烈的射精冲动，而****能干扰上述化学物质，达到延时射精的目的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051211277},{"body":{"content":"他们经常给我推荐那个*****那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051215428},{"body":{"content":"******适应症: **利湿，****。用于慢性前列腺炎属湿热挟瘀证，症见：小便频急、尿后余沥、尿后滴白、尿道涩痛、少腹疼痛、会阴不适、腰骶疼痛、阴囊潮湿、睾丸疼痛。一天2次 一次4粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217532},{"body":{"content":"*****诊断早泄会有帮助的，但是一般建议中医辩证论治指导会更好些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268539},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284809},{"body":{"content":"上面给您推荐的药物为处方药，我可以给您开一张电子处方，以供线上购买使用，或者作为线下购买及用药参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291284},{"body":{"content":"还有就是每到夏天晚上的话，就是脚心发热，心悸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297159},{"body":{"content":"脚心发热等中医症状，建议中医科望闻问切，辩证论治，会更准确些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366288},{"body":{"content":"咱们京东有中医吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051389742},{"body":{"content":"我给您一个医院临床治疗反馈效果好的一线用药方案，您可以参考下，比较适合您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392015},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419092},{"body":{"content":"处方供您开好了，供您参考","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463686},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468230},{"body":{"content":"好的，到时候怎么联系您？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051577323},{"body":{"content":"您可以按照上图的这个流程找到我，建议用药一段时间后及时复诊，相对于埋头吃药来说，医生的指导更重要，减量和停药都要在医生的指导下进行；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594542},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051735069},{"body":{"content":"这个****一盒够吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051749960},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。规律性生活，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051780137},{"body":{"content":"4周6片1疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792604},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051807720},{"body":{"content":"给您开一盒3片的****先试试，效果明显的话，没有啥不适症状，再继续按需服用，性生活时间达到满意度以后再停药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051821655},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051865666},{"body":{"content":"目前很多患者除了在口服药物治疗以外，都在用***，提高性功能，连续服用效果还是非常不错的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051904967},{"body":{"content":"***是**，**，**，**，还有**混合在一起泡出来的茶。可以起到调理身体的作用，功效有：**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051921229}]

男32岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050373786},{"body":{"content":"你好，我需要配药，需要京东处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421728},{"body":{"content":"****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050432354},{"body":{"content":"是你本人开药吗？目前病情稳定吗？有没有不良反应？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460202},{"body":{"content":"是我本人，就是偶尔有些耳鸣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050486072},{"body":{"content":"哪个品牌的？开几盒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497427},{"body":{"content":"开一盒就好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536630},{"body":{"content":"哪个品牌的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050555599},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050599798},{"body":{"content":"好了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050675252},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050705693},{"body":{"content":"如果您没有其他问题我将结束问诊，您可以点击右上角关注我，以后有什么问题可以随时留言，我有空后**时回复你，请耐心等待，感谢你的支持！祝你健康生活每一天！如果您对服务满意，也请您给一个好评！！谢谢！！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050740904}]

女42岁

2022.05.20

[{"body":{"content":"几天了？痒不痒？之前治疗过吗？有没有照片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049608443}]

男37岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049784470},{"body":{"content":"在发下舌头照片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049793685},{"body":{"content":"早上起来齿痕比这严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049857072},{"body":{"content":"胃怕凉嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049877645},{"body":{"content":"怕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891873},{"body":{"content":"脾胃不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049920258},{"body":{"content":"嗯嗯。大便之前肚子疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049945461},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049964276},{"body":{"content":"反酸烧心嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050044308},{"body":{"content":"吃完饭 好放屁 打嗝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050060595},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050077359},{"body":{"content":"不反酸烧心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050094001},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050108870},{"body":{"content":"手脚心热吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117181},{"body":{"content":"不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050148436},{"body":{"content":"嗯嗯。平时白天稍微一活动出汗嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184399},{"body":{"content":"出汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050205519},{"body":{"content":"脾湿有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050248980},{"body":{"content":"有脾湿的表现吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050275033},{"body":{"content":"嗯。脾胃虚寒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050287718},{"body":{"content":"嗯我感觉也是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050318672},{"body":{"content":"嗯嗯。你能吃汤药嘛，我可以给你调理下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050343118},{"body":{"content":"能","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377266},{"body":{"content":"有现成的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050392260},{"body":{"content":"有**的，热水一冲就好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404996},{"body":{"content":"烫药效果会好一些吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434922},{"body":{"content":"汤药有两种形式，一种是*草药，你自己回家煎煮；另一种是做成**，**剂是*草药煎煮、浓缩、提纯之后做成的**，用热水冲服就可以，比较方便。你是要*草药还是**剂？请确认一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050467736},{"body":{"content":"来*草药吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050528477},{"body":{"content":"回来自己煎煮吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050601096},{"body":{"content":"好的。那您稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603762},{"body":{"content":"好的，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050802606},{"body":{"content":"收到了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051266895},{"body":{"content":"嗯？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291978},{"body":{"content":"直接就能邮过来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051359009},{"body":{"content":"嗯嗯。对的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392117},{"body":{"content":"你预约后就会有联系你的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051400302},{"body":{"content":"好的，谢谢刘医生。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433455},{"body":{"content":"有什么忌口吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051473849},{"body":{"content":"吃药期间不要喝茶，奶茶，咖啡。平时少吃辛辣寒凉食物，少吃豆制品，豆类，土豆，**，玉米，**，**等含淀粉多的食物。烧心反酸的话，少吃酸菜，韭菜，甜的，粘的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051494739},{"body":{"content":"知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051553116},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051559014},{"body":{"content":"这个药早饭饭后十分钟吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051573516}]

男32岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0580，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050936167},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？上为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050937523},{"body":{"content":"17岁，男，为自己孩子咨询","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051000243},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、孕期、哺乳期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051016862},{"body":{"content":"您咨询的这款对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340094},{"body":{"content":"养成良好的用眼习惯，合理的用眼，减少使用电子产品时间，避免眼疲劳，要控制用眼距离。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051582538},{"body":{"content":"为了您的健康和用药安全，使用前请仔细阅读药品说明书，按照药品的用法用量正确使用、查看用药禁忌和注意事项，如果为禁忌人群请勿使用，如有任何疑问，请及时咨询医生或药师。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051584634},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051586088}]

女

2022.05.20